Podcast
Questions and Answers
What occurs during protrusive jaw relation and how does it affect posterior teeth?
What occurs during protrusive jaw relation and how does it affect posterior teeth?
In protrusive jaw relation, the mandible moves anteriorly, causing disocclusion of the posterior teeth as the mandibular anterior edges glide against the maxillary anterior surfaces.
Define lateral mandibular relation and distinguish between the working and nonworking sides.
Define lateral mandibular relation and distinguish between the working and nonworking sides.
Lateral mandibular relation refers to the side-to-side movement of the mandible; the working side is the direction the mandible moves towards, while the nonworking side is the opposite side.
What is canine-protected articulation, and what does it achieve during lateral excursions?
What is canine-protected articulation, and what does it achieve during lateral excursions?
Canine-protected articulation results in disocclusion of the posterior teeth due to the vertical overlap of the maxillary and mandibular canines during lateral movements.
Explain group function and its implications for occlusal relationships.
Explain group function and its implications for occlusal relationships.
Signup and view all the answers
Describe the Curve of Spee and its relevance in dental occlusion.
Describe the Curve of Spee and its relevance in dental occlusion.
Signup and view all the answers
What is the significance of Bennett’s movement in lateral mandibular relation?
What is the significance of Bennett’s movement in lateral mandibular relation?
Signup and view all the answers
How does bilateral balanced occlusion function, and when is it most beneficial?
How does bilateral balanced occlusion function, and when is it most beneficial?
Signup and view all the answers
What role do occlusal curvatures play in tooth contact during mandibular movement?
What role do occlusal curvatures play in tooth contact during mandibular movement?
Signup and view all the answers
What defines the incisor relationship in Class I occlusion?
What defines the incisor relationship in Class I occlusion?
Signup and view all the answers
What distinguishes Class II Division I from Class II Division II malocclusion?
What distinguishes Class II Division I from Class II Division II malocclusion?
Signup and view all the answers
Describe the skeletal relationship of Class III malocclusion.
Describe the skeletal relationship of Class III malocclusion.
Signup and view all the answers
What is the impact of a deep overbite on occlusion?
What is the impact of a deep overbite on occlusion?
Signup and view all the answers
In what way does mandibular movement affect occlusion?
In what way does mandibular movement affect occlusion?
Signup and view all the answers
How does the molar relationship in Class II malocclusion differ from Class I?
How does the molar relationship in Class II malocclusion differ from Class I?
Signup and view all the answers
What determines the overall occlusal stability?
What determines the overall occlusal stability?
Signup and view all the answers
What role does the articular eminence play in occlusion?
What role does the articular eminence play in occlusion?
Signup and view all the answers
What is the incisor relationship when lower anterior incisors are edge to edge with upper anteriors?
What is the incisor relationship when lower anterior incisors are edge to edge with upper anteriors?
Signup and view all the answers
Define infraocclusion in relation to malocclusion.
Define infraocclusion in relation to malocclusion.
Signup and view all the answers
What is posterior crossbite and its common association?
What is posterior crossbite and its common association?
Signup and view all the answers
What describes an anterior crossbite?
What describes an anterior crossbite?
Signup and view all the answers
Explain the term overbite and its dental implications.
Explain the term overbite and its dental implications.
Signup and view all the answers
What is overjet and how does it differ from overbite?
What is overjet and how does it differ from overbite?
Signup and view all the answers
What is the significance of centric relation in jaw relationships?
What is the significance of centric relation in jaw relationships?
Signup and view all the answers
What is meant by the term physiologic rest position?
What is meant by the term physiologic rest position?
Signup and view all the answers
Study Notes
Occlusion
- Occlusion is the contacting of occlusal and incising surfaces of opposing maxillary and mandibular teeth.
- Ideal occlusion is the harmonious static and dynamic relationship of teeth and jaws.
- Stable occlusion does not have too much force on any particular teeth, which could damage the teeth in the short or long term.
Importance of Occlusion
- Good general and dental health.
- Mastication
- Ability to speak
- Esthetics
- Allows better differential diagnosis in complicated cases.
Determinants of Occlusion
- Posterior determinant: TMJ-inclination of the articular eminence, morphology of the medial wall of the glenoid fossa and the shape of the condyle.
- Anterior determinant: Teeth, overall neuro-masticatory system.
Angle’s Classification of Occlusion
- Class I: The mesiobuccal cusp of the maxillary first molar is aligned directly over the mesiobuccal groove on the mandibular first molar. Incisor relationship - Incisal edges of maxillary teeth are labial to the incisal edges of the mandibular teeth. Skeletal relationship - Straight facial profile, also known as orthognathic or mesognathic profile.
-
Class II: Mandibular teeth are distal to their normal maxillary teeth. Maxillary teeth occludes at least half a cusp more mesial to the mandibular first permanent molar. Skeletal relationship - Small mandible, large maxilla, or both. Convex facial profile. Retrognathic. Incisor relationship - Abnormally large overlap of maxillary incisors over mandibular.
- Division I: Maxillary incisors have a labial inclination (proclined).
- Division II: Maxillary incisors have lingual inclination (retroclined).
- Class III: Mandibular molars are mesial to the Class I relationship. Skeletal relationship - Large mandible to maxillae. Concave facial profile. Prognathic.
Jaw Relationships
- Maximal Intercuspal position (MIP): The tightest or best fit between maxillary and mandibular posterior teeth. It is a tooth-to-tooth relationship.
- Centric relation (Retruded contact position): An important reproducible and repeatable relationship of the mandible to the maxillae. This jaw relationship is not affected by the presence (or absence) of teeth. The mandible closes with both condyles remaining in rear-most, upper-most and mid-most (rum) position.
-
Physiologic Rest Position: The position of the mandible when all of its supporting muscles are in their resting posture.
- Occlusal vertical dimension: Refers to the distance between a selected point on the mandible and a selected point on the maxillae.
- Resting vertical dimension: The position of the mandible when all of its supporting muscles are in their resting posture.
- Freeway space: Space between the occlusal surfaces of the maxillary and mandibular teeth. [RVD-OVD=FWS]
Jaw relationships during horizontal movements of the mandible
-
Protrusive jaw relation: When the mandible moves anteriorly. Both mandibular condyles and discs move forward together in their articular fossa - downwards and forwards.
- Incisal guidance: (Anterior guidance or anterior protected occlusion): Incisal edges of the mandibular anterior teeth glide against the lingual surfaces of the maxillary anterior teeth.
- Retrusion: (Retraction): When the mandible moves posteriorly toward its maximum intercuspal position.
-
Lateral mandibular relation: Movement of mandible to the right or left.
- Working side: The side towards which the mandible moves during lateral excursion.
- Nonworking side: The opposite side.
- Bennett’s movement: The condyle on the working side does not move much; it rotates on its vertical axis and moves laterally only about 1 to 2 mm.
- Canine-protected articulation: Vertical overlap of the maxillary and mandibular canines produces a disocclusion (separation) of all of the posterior teeth when the mandible moves to either side.
- Interferences: Refer to the tooth contacts on the nonworking side.
- Group function: (or unilateral balanced occlusion): An occlusal relationship in which multiple teeth on a working side contact evenly as the jaw is moved toward that side.
- Bilateral Balanced Occlusion: When all posterior teeth contact on the working side and one or more teeth on the balancing side contact simultaneously. It is produced in complete dentures as it helps to prevent the dentures from tipping and coming loose. It is potentially bad for a patient with natural teeth to have any contact on the nonworking side.
Occlusal Curvatures
- Occlusal surfaces do not conform to a flat plane.
- Curve of Spee: When viewed from the lateral aspect, the incisal and cusp edges follow a curve which curves upwards from anterior to posterior.
- Monsons (Wilsons) curve: When viewed from the coronal plane, there is a curve in the posterior region which is concave and the cusps of the right and left side teeth lie on this curve.
Advantages of Occlusal Curvatures
- Allow tooth contact.
- OCCLUSION
What is occlusion?
- Is contacting of occlusal and incising surfaces of opposing maxillary and mandibular teeth.
Importance of occlusion
- Good general and dental health
- Mastication
- Ability to speak
- Esthetics
- Allows better differential diagnosis in complicated cases.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.